Application for Passport

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Application for Passport 1/2

Please read this information carefully before completing your application.

Application Fee

Normal (21 days) - VT 15,000

Express (14 days) - VT 20,000

Urgent (3 days) - VT 30,000

Lost (14 days) - VT 35,000

Have you had a Vanuatu passport before Yes No

Has the passport been Lost or Stolen Yes No

Passport No

Date of travel

Service Level Normal Priority

Family Name

Given Name

Date of Birth

Gender M F

Melanesian names

Other Name's

Name at Birth

CITIZENSHIP DECLARATION:

I declare that I am a citizen of Vanuatu and no other country (Tick one of the options as applicable)

Born after 30 July 1980, with at least one parent that was a Vanuatu citizen at the time of birth (Provide Either original birth certification showing at least one parent of indigenous ni-Vanuatu ancestry, OR original birth certificate showing at least one parent who is a Vanuatu citizen, and proof of the Parent's citizenship e.g Citizenship Certificate)

Born on or before 30 July 1980 and of indigenous ni-Vanuatu ancestry. (Provide an original birth certificate showing at least one ni-Vanuatu parent).

Citizen by naturalization granted by the Citizenship Commission after 30 July 1980. (Provide both an original birth certificate and Vanuatu citizenship Certificate) List previous nationality/ies and passport details below.

Previous Nationality/ies

Passport No

Place of Issue

Issue Date

Expiry Date

Marital Status

Driving Licence No

V.N.P.F No.

Place of Birth

Country of Birth

Eye Colour

Height

Occupation/Profession

Marks/Scars

Present Address

Phone

Consent to issue a Passport to a Person under 18 years of age

(Parent or Guardian to complete this section and sign the Application Declaration below)

I consent to a passport being issued to

My relationship to the child is Mother Father Guardian

My name is

My Date of Birth

Identity Witness Details

Full Name

Address

Phone no

Passport No

Application Declaration

I declare that all particulars in this application are true in all respects. I understand that if I make a false or misleading statement, orally or in writing, in connection with this Vanuatu passport application I can, by law, be fined up to VT 5,000,000 and imprisoned for up to 5 years or both.

Date

Signature

Witness Declaration

I declare that I have known the applicant for at least one year, and the information on this form is correct to the best of my knowledge. The person in the passport photo is the applicant named on this form.

Signature/Thumbprint of Witness

Recent passport photo

Original Vanuatu birth Certificate

Previous Vanuatu Passport

Original birth and citizenship Certificate

Signature or thumbprint of passport holder

Application for Passport 2/2

Application for Passport

You can submit the form and we will contact you for the payment.

Normal fee - 12,000 VT (up to 21 days processing time)

Express fee - 16,000 VT (up to 14 days processing time)

Urgent fee - 24,000 VT (up to 3 days processing time)

Human ?

Application for Passport - Done !

Thanks you,

We will contact you after reviewing your application with questions or agreement normally in the next 36 hours.

Best regards,
The Global Immigration Team